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Monthly diabetes group visits, where patients receive all their recommended tests and examinations in one place, are an effective and cost-efficient way to help diabetics keep their disease under control, but they take a lot of organization, says Donna Zazworsky, RN, MS, CCM, FAAN, manager of network diabetes care, faith community nursing and telemedicine for Carondelet Health Network in Tucson, AZ.
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A chronic care program for diabetics at St. Elizabeth Health Center in Tucson, AZ, provides recommended care at a reduced cost and copay, helps them develop self-management goals, and supports them when they go back into their communities.
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An enterprisewide master patient index is used at Methodist Le Bonheur Healthcare, a system of six hospitals, several off-campus diagnostic and treatment centers, free-standing surgical centers, and urgent care centers.
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Chagas disease (American Trypanosomiasis) is caused by infection with the protozoan parasite Trypanosoma cruzi, and is spread primarily by triatomine insect vectors ("kissing bugs").
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Ongoing education between the clinical documentation improvement specialists, the coders, and managers of each department is essential to the success of Moses Cone Health System's clinical documentation improvement initiative, says Mary Beth Brown, RN, BSN, CPHM, manager of utilization review of clinical documentation improvement.
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A clinical documentation improvement program at Moses Cone Health System in Greensboro, NC, has resulted in a 6.43% increase in the case mix index and a 7.5% rise in the severity of illness weight.
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Case managers act as the safety net in making sure that patients receive appropriate evidence-based care interventions and ensuring safety protocols and preventive measures are in place at Baystate Medical Center in Springfield, MA.
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At Loma Linda (CA) University Medical Center, ED nurses have decreased door-to-EKG time to 11 minutes from almost an hour a year ago, reports Teri D. Reynolds, RN, BSN, clinical educator in the department of emergency services.
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As the result of an initiative in which the entire hospital staff collaborate to improve length of stay, Spartanburg (SC) Regional Healthcare System's average severity-adjusted length of stay has dropped from an average of 5.40 days in 2007 to an average of 5.18 days so far in 2008.